Active NPI
Patricia Lynn Deaver, GSW
- Mental Health Counselor
- Lewisburg, WV
National Provider Identifier
1598905036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- BP00943233
- Practice address
- 100 Church St
Lewisburg, WV 24901-1304 - Phone
- (304) 645-3319
- Fax
- (304) 645-6432
- NPI assigned
- Feb 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | BP00943233 | WV | Primary |
Addresses
Primary practice location
100 Church St
Lewisburg, WV 24901-1304
Mailing address
1305 Webster Rd
Summersville, WV 26651-1125
Phone (304) 872-6503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP00943233 | WV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1598905036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 WEBSTER RD",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511125",
"telephone_number": "304-872-6503",
"fax_number": "304-872-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHURCH ST",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249011304",
"telephone_number": "304-645-3319",
"fax_number": "304-645-6432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAVER",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"credential": "GSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-24",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "BP00943233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.